Addressing mental health problems among persons without stable housing in the context of the COVID-19 pandemic: study protocol for a randomised trial. RESPOND – France

Melchior, Maria, Figueiredo, Natasha, Roversi, Aurélia, Dubanchet, Alexandre, Bui, Eric, Vadell-Martínez, Julian, Barbui, Corrado, Purgato, Marianna, Ayuso-Mateos, José luis, Mediavilla, Roberto, McDaid, David ORCID: 0000-0003-0744-2664, Park, A-La ORCID: 0000-0002-4704-4874, Petri-Romão, Papoula, Kalisch, Raffael, Nicaise, Pablo, Lorant, Vincent, Sijbrandij, Marit, Witteveen, Anke B, Bryant, Richard, Felez, Mireia, Underhill, James, Pollice, Giulia and Tortelli, Andrea (2023) Addressing mental health problems among persons without stable housing in the context of the COVID-19 pandemic: study protocol for a randomised trial. RESPOND – France. BMC Public Health, 23 (1). ISSN 1471-2458

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Abstract

Background: The COVID-19 pandemic has had an impact on population-wide mental health and well-being. Although people experiencing socioeconomic disadvantage may be especially vulnerable, they experience barriers in accessing mental health care. To overcome these barriers, the World Health Organization (WHO) designed two scalable psychosocial interventions, namely the web-based Doing What Matters in Times of Stress (DWM) and the face-to-face Problem Management Plus (PM+), to help people manage stressful situations. Our study aims to test the effectiveness of a stepped-care program using DWM and PM + among individuals experiencing unstable housing in France – a majority of whom are migrant or have sought asylum. Methods: This is a randomised controlled trial to evaluate the effectiveness and cost effectiveness of a stepped-care program using DWM and PM + among persons with psychological distress and experiencing unstable housing, in comparison to enhanced care as usual (eCAU). Participants (N = 210) will be randomised to two parallel groups: eCAU or eCAU plus the stepped-care program. The main study outcomes are symptoms of depression and anxiety measured using the Patient Health Questionnaire Anxiety and Depression Scale (PHQ-ADS). Discussion: This randomised controlled trial will contribute to a better understanding of effective community-based scalable strategies that can help address the mental health needs of persons experiencing socioeconomic disadvantage, whose needs are high yet who frequently have limited access to mental health care services. Trial registration: this randomised trial has been registered at ClinicalTrials.gov under the number NCT05033210.

Item Type:	Article
Official URL:	https://bmcpublichealth.biomedcentral.com/
Additional Information:	© 2023 The Author(s)
Divisions:	Personal Social Services Research Unit
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine H Social Sciences > HV Social pathology. Social and public welfare. Criminology B Philosophy. Psychology. Religion > BF Psychology
Date Deposited:	23 Nov 2023 15:54
Last Modified:	25 Apr 2024 21:33
URI:	http://eprints.lse.ac.uk/id/eprint/120853

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